| NPI | 1104007715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C GOLDSMITH Chief Operating Officer 212-780-2692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NY 06198492) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |